| NPI | 1700951621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN 557976) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NPF12780) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA CNS 1531) | |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2013-03-20 |