| NPI | 1225174030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 396826) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS23451) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2015-03-04 |