| NPI | 1336116748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95009054) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 595477) |
| 367A00000X Advanced Practice Midwife (Licence: CA 1553) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2018-06-20 |