| NPI | 1043392467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 16078) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 16078) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2024-04-27 |