| NPI | 1497265169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95006863) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95104240) |
| 163W00000X Registered Nurse (Licence: TN 196846) | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |