| NPI | 1639508310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95016720) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 752556) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 4044) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2023-05-19 |