| NPI | 1134460603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95018039) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 390885) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA 172395) | |
| 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: CA 390885) | |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2025-07-18 |