| NPI | 1306110986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95017241) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 772976) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2023-11-27 |