| NPI | 1760720221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP9433) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 537271) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP9433) | |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2023-06-28 |