| NPI | 1962988279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95038965) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 258994) |
| 163W00000X Registered Nurse (Licence: CA 95231418) | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2026-05-01 |