| NPI | 1871888743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95002353) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CA 595413) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2025-02-19 |