| NPI | 1992841639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 16308) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 651233) |
| 364SM0705X Clinical Nurse Specialist Medical-Surgical (Licence: CA 2437) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2009-08-10 |