| NPI | 1124350822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 23844) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 742135) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 574) | |
| 363L00000X Nurse Practitioner (Licence: CA 23844) | |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2022-01-20 |