| NPI | 1083936660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A173753) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 18786) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2022-06-22 |