| NPI | 1518321686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95002024) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004024) |
| 163W00000X Registered Nurse (Licence: CA 95030957) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2026-03-19 |