| NPI | 1104840172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 15407) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 2139) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |