| NPI | 1720434848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95003757) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 675731) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95003757) | |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2025-10-31 |