| NPI | 1174794358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 18456) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CA 3222) |
| 163W00000X Registered Nurse (Licence: CA 685498) | |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2009-10-08 |