| NPI | 1518165190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 388202) |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: CA 388202) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2021-11-30 |