| NPI | 1205028354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 769416) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN219248) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2018-03-27 |