| NPI | 1255669370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 801264) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA vn 244251) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2011-08-11 |