| NPI | 1740765684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 835646) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95008648) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95008648) | |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2025-11-19 |