| NPI | 1265847123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 18737) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 18737) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 18737) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2020-03-18 |