| NPI | 1508929225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA NP 16667) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP16667) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: CA RN 534139) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2014-08-08 |