| NPI | 1134374705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 18565) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 693452) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP61079067) | |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2022-02-17 |