| NPI | 1093094096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 721463) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 21010) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2012-04-10 |