| NPI | 1861785404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95010133) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 745083) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2018-09-28 |