| NPI | 1952993586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95017981) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 831577) |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-12-28 |