| NPI | 1689263121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023365) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95223297) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95023365) | |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2024-03-15 |