| NPI | 1902417769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95212092) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95039093) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2026-05-09 |