| NPI | 1851673610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20795) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 653081) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 3604) | |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2018-03-17 |