| NPI | 1952510737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 14119) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 540407) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 1046) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2012-12-12 |