| NPI | 1154495620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 16389) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 531287) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 2476) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2014-03-25 |