| NPI | 1023114865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 21885) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 095006984N6) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 095006984) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2013-01-17 |