| NPI | 1407399363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95005777) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 652970) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-12-29 |