| NPI | 1972195386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95028680) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95104307) |
| Enumeration Date | 2021-02-07 |
| Last Update Date | 2025-11-06 |