| NPI | 1184012866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95005019) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 444666) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 444666) | |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2018-03-17 |