| NPI | 1093040776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021658) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 745996) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2023-03-15 |