| NPI | 1659785020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95011218) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: CA 828301) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2021-09-16 |