| NPI | 1720241474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 18870) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 697504) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2015-05-22 |