| NPI | 1760646970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 17135) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CA 2077) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |