| NPI | 1134479322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP 21678) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP 21678) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2019-12-30 |