| NPI | 1114010246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 6128) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA RN429817) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-07-19 |