| NPI | 1932566031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95004145) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.407813) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2018-01-04 |