| NPI | 1023377231 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23015) | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AL 1-115189) | 
| 163W00000X Registered Nurse (Licence: CA 840790) | |
| Enumeration Date | 2012-05-08 | 
| Last Update Date | 2017-01-04 |