| NPI | 1457605446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 21925) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 729078) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 3792) | |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |