| NPI | 1609876622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA RN 611913, NP14715) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RN 611913, NP14715) |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: CA RN 611913, NP14715) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA RN611913) | |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2010-01-28 |