| NPI | 1124298898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 17754) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 532089) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 17754) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 219807) | |
| Enumeration Date | 2008-03-09 |
| Last Update Date | 2020-05-11 |