| NPI | 1245429596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 493889) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 0065709) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: MD 2007002506-32) | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |