| NPI | 1255737730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95113661) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2018-11-12 |