| NPI | 1104139211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 76691) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 752767) |
| Enumeration Date | 2010-07-17 |
| Last Update Date | 2010-07-17 |