| NPI | 1598024697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 8290) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 8290) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2018-06-15 |