| NPI | 1659735405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95021294) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 95207783) |
| 101200000X | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2022-07-23 |