| NPI | 1508565110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95031456) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 696555) |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2024-10-08 |