| NPI | 1639394745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 18389) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA RN 641542) |
| 363L00000X Nurse Practitioner (Licence: CA 18389) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2023-03-17 |