| NPI | 1306116298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP21399) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP21399) |
| 363L00000X Nurse Practitioner (Licence: VA 0024169813) | |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2018-05-10 |