| NPI | 1770083198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 518794) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: CA 518794) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 518794) | |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |