| NPI | 1083848790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2000171436) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN632362) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |