| NPI | 1588341978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95030552) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 95022150) |
| 163W00000X Registered Nurse (Licence: CA 95022150) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 95022150) | |
| 363L00000X Nurse Practitioner (Licence: CA 95030552) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95022150) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95022150) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95022150) | |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2026-01-01 |