| NPI | 1225359961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID NP-1472A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 779107) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 22139) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2015-01-30 |