| NPI | 1477428399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95039033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95399769) |
| 163W00000X Registered Nurse (Licence: OH 539262) | |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2026-03-17 |