| NPI | 1942608161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95004685) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-03073) |
| 163W00000X Registered Nurse (Licence: CA 846300) | |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2017-02-27 |