| NPI | 1619164399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 18197) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 334758) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2010-06-02 |