| NPI | 1568766442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 19493) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 3322) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2016-09-16 |