| NPI | 1669860110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95004015) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: MN R 28506-5) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MN 3797) | |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2016-11-22 |