| NPI | 1629345269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95003195) |
| Additional Taxonomies | 174400000X Specialist |
| 163W00000X Registered Nurse (Licence: CA 845745) | |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2016-06-30 |