| NPI | 1083762595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 22191) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 296429) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2014-09-11 |