| NPI | 1801151964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 14251) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 3367) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |