| NPI | 1154355758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 15820) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 588928) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 2298) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-01-16 |