| NPI | 1851737688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95012662) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 837585) |
| 163WC1500X Registered Nurse Community Health (Licence: CA 85895) | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2021-06-17 |