| NPI | 1356781074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 23412) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: CA 5441100) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2017-05-04 |