| NPI | 1962834150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95002173) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 779951) |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: MA 2271065) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA 2271065) | |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2020-12-01 |