| NPI | 1922317544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 21614) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 225400000X) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2012-06-07 |