| NPI | 1104955863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: CA RN 254678) |
| Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: CA 4148) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-11-26 |