| NPI | 1578891628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP19468) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 609044) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: CA 609044) | |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2015-10-19 |