| NPI | 1235417874 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA 459261) | 
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 459261) | 
| Enumeration Date | 2011-08-01 | 
| Last Update Date | 2011-08-01 |