| NPI | 1497168694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP020466) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 827552) |
| 163W00000X Registered Nurse (Licence: PA RN608905) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95002871) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2019-07-25 |