| NPI | 1275874828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 22717) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 575481) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 22717) | |
| 364S00000X Clinical Nurse Specialist (Licence: CA 3940) | |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2014-04-13 |