| NPI | 1700514957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95022360) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 683116) |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CA 4830) | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-02-28 |