| NPI | 1205259306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA 619029) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: CA 619029) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |