| NPI | 1235504952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95013520) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 647341) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2019-12-18 |