| NPI | 1407078462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 524103) |
| Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: CA 524103) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |