| NPI | 1720467509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95001351) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95030449) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |