| NPI | 1730351610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95009048) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95009048) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2026-01-29 |