| NPI | 1710509955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95015093) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA F02200948) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2025-10-08 |