| NPI | 1487152534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95017548) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95044332) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95044332) | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2021-09-10 |