| NPI | 1750625588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 688401) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CA 21236) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2025-05-09 |