| NPI | 1093779944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 369185) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 5750) |
| Enumeration Date | 2006-04-15 |
| Last Update Date | 2007-07-10 |