| NPI | 1538419601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 22326) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 633572) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 22326) | |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-10-16 |