| NPI | 1629057237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 14401) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 1901) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2018-08-17 |