| NPI | 1003323320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95007316) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 767049) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |