| NPI | 1114199742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 114152) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 714538) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |