| NPI | 1194766113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP12655) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN291997) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2016-04-19 |