| NPI | 1134357973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 21173) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 651778) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 3650) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2012-02-09 |