| NPI | 1932334745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95001718) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95001718) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 14166) | |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2022-11-04 |