| NPI | 1225200108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: OR 200941401RN) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 558901) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2011-06-09 |