| NPI | 1275766487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 369466) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 369466) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2016-09-27 |