| NPI | 1497202337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95005238) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 709466) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2024-09-30 |