| NPI | 1568669083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 16966) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 640402) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA 2684) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2014-01-23 |