| NPI | 1699929679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 18201) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 298577) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2017-02-06 |