| NPI | 1053667766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 815172) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: CA 82956) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |