| NPI | 1164645966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 15159) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: CA 513840) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2013-08-02 |