| NPI | 1033765474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 713511) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP95009689) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95009689) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP95009689) | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |