| NPI | 1417258294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 15928) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 244499) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 787) | |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |