| NPI | 1568791978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 11031) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 3247) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 11031) | |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2025-03-05 |