| NPI | 1275003212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 15401) |
| Additional Taxonomies | 163WH1000X Registered Nurse Hospice (Licence: CA 565421) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2018-12-03 |