| NPI | 1174584411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 14191) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 384702) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 384702) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2023-01-11 |