| NPI | 1053752485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 21719) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21719) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2019-10-23 |