| NPI | 1891440996 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: CA 4968)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95104047)  | 
| Enumeration Date | 2022-02-16 | 
| Last Update Date | 2022-02-16 |