| NPI | 1881678233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 10927) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 508591) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 10927) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-07-21 |