| NPI | 1619575198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 2022067559) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F1020335) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2023-09-19 |