| NPI | 1942788120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95012645) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN748996) |
| 163W00000X Registered Nurse (Licence: CA 95109100) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP025467) | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2022-11-14 |