| NPI | 1073743068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP18499) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 18499) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2012-02-23 |