| NPI | 1740718402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95005953) |
| Additional Taxonomies | 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: CA 545853) |
| 163W00000X Registered Nurse (Licence: CA 95026188) | |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2019-08-09 |