| NPI | 1457548786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 797722) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 075517) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 003437) | |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2011-10-12 |