| NPI | 1225344815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CA 7528) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 171695) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |