| NPI | 1861023616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95023720) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95282327) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2024-10-23 |