| NPI | 1134178676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN379667) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: CA RN379667) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |