| NPI | 1053500306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA PHN# 68123) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA RN# 643886) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |