| NPI | 1114319159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 826827) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 85235) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-02-27 |