| NPI | 1114477395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP 95002936) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CA 758212) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2022-05-03 |