| NPI | 1891129854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95012541) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 842223) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2019-08-29 |