| NPI | 1023495744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CA 3363) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 745456) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 23423) | |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |