| NPI | 1114996436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 418256) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 8058) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2007-07-08 |