| NPI | 1447596432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 801986) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 23600) | |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2024-01-10 |