| NPI | 1013929066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA NP15821) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP15821) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2023-01-04 |