| NPI | 1194935957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 613088) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 15649) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 2250) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-02-11 |