| NPI | 1912223389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21433) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200440425rn) |
| 163WW0000X Registered Nurse, Wound Care (Licence: CA 567223) | |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2022-11-18 |