| NPI | 1770671828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 15754) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 15754) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2023-02-28 |