| NPI | 1750581492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 17397) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 17397) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2012-04-30 |