NPI | 1164559431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: CA 495115) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 495115) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2013-02-08 |