| NPI | 1902267438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95003965) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 559817) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95003965) | |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2025-12-10 |