| NPI | 1174812598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 242T00000X Perfusionist (Licence: CA 930141) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 504144) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-07 |