| NPI | 1912994823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 11951) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 11951) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 1369) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2010-07-09 |