| NPI | 1285843631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 1143834) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 1143834) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |