| NPI | 1003147455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 20878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 574398) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 3619) | |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2015-02-03 |