| NPI | 1487319786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95029421) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 4710765) |
| 163W00000X Registered Nurse (Licence: CA 95267120) | |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2025-03-13 |