| NPI | 1104906312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 13506) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 528545) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |