| NPI | 1356699912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 21955) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 21955) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 21955) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-02-14 |