| NPI | 1932771391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016288) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 778130) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95016288) | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2024-10-15 |