| NPI | 1912258880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 391710) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 391710) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 391710) | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: CA 391710) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA 391710) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |