| NPI | 1720538788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95031769) |
| Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 95097866) |
| 163WC1500X Registered Nurse Community Health (Licence: CA 95097866) | |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2024-10-09 |