| NPI | 1699849760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 18001) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 709263) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN APN0000012290) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2016-07-12 |