| NPI | 1629350236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 792247) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 792247) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 22774) | |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2023-06-14 |