| NPI | 1548600117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23069) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 23069) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 23069) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2025-08-31 |