| NPI | 1669774162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 20034) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 437292) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 3454) | |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2018-07-11 |