| NPI | 1831569391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95003142) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95003142) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-11-18 |