| NPI | 1164736989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 698786) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN 236012) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2015-06-19 |