| NPI | 1104923150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 12756) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 535887) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-12 |