| NPI | 1013130111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 757233) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 222011) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2010-02-14 |