| NPI | 1255511507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 670664) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 565899-1) |
| Enumeration Date | 2007-11-04 |
| Last Update Date | 2007-11-04 |