| NPI | 1235338278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 868162) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 211596) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2010-02-09 |