| NPI | 1912201351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95005746) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 9201444) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2017-08-04 |