| NPI | 1225360498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 20560) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 698511) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2023-05-22 |