| NPI | 1720397383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP14759) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN509268) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA RN 509268 NP 14759) | |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2025-03-10 |