| NPI | 1750753570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002894) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 768139) |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CA 4345) | |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2019-04-18 |