| NPI | 1063776128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: CA RN589688) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 589688) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2018-12-03 |