| NPI | 1770437980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95081894) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5024660) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95039670) | |
| Enumeration Date | 2026-02-24 |
| Last Update Date | 2026-08-19 |