| NPI | 1124066014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA CNS1710) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN505704) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-01-14 |