| NPI | 1871956847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95044705) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 95044705) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2023-08-15 |