| NPI | 1053863324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95077690) |
| Additional Taxonomies | 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: CA 550080) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |