| NPI | 1700123973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 7410) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 606806) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN CNP4944) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95002695) | |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2020-10-29 |