| NPI | 1083151401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 757071) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 79243) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |