| NPI | 1477645752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 14415) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 456956) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 456956) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 45695614415) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2014-11-06 |