| NPI | 1194074344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 728245) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 66092) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2014-01-23 |