| NPI | 1245660422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95000966) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 849603) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2014-10-24 |