| NPI | 1104117159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 127451) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 742607) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |