| NPI | 1568071124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95033554) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95125916) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2025-05-23 |