| NPI | 1629273180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95009947) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 673640) |
| 163WC1500X Registered Nurse, Community Health (Licence: CA 673640) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 673640) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2018-09-06 |