| NPI | 1063831048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000604) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 3640) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2022-02-11 |