| NPI | 1184080012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002101) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist Acute Care (Licence: CA 4267) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |