| NPI | 1205171261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95000242) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MD R174610) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2014-09-08 |