| NPI | 1902662489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95027258) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95190467) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95190467) | |
| 163WC1500X Registered Nurse, Community Health (Licence: CA 95190467) | |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2026-03-31 |