NPI | 1235552613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA PHN 87019) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 841799) |
Enumeration Date | 2014-01-21 |
Last Update Date | 2014-11-18 |