| NPI | 1144267642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95003647) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 50-03922) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 95003647) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-04-17 |