| NPI | 1841449899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 10525) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: CA 2154) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |