| NPI | 1679805592 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 625461) | 
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA 17798) | 
| Enumeration Date | 2010-02-02 | 
| Last Update Date | 2024-10-18 |