| NPI | 1942868989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95034882) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA L-23443) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2025-05-11 |