| NPI | 1265732507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 20151) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 3465) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2021-12-02 |