| NPI | 1104941079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 216108) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 216108) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-09-04 |