| NPI | 1821395740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 19049) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: CA 3228) |
| Enumeration Date | 2011-02-13 |
| Last Update Date | 2011-02-13 |