| NPI | 1235552811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95007276) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95007276) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 838353) | |
| Enumeration Date | 2014-02-01 |
| Last Update Date | 2020-04-29 |