| NPI | 1700376621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015003) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 95103083) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95015003) | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2025-07-25 |