| NPI | 1538195136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP12277) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN525238) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2012-01-04 |