| NPI | 1174614010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 13142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 546588) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 1799) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-01-23 |