| NPI | 1093064511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 817581) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA vn241522) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |