| NPI | 1013197425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: CA 278962) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 278962) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 278962) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |