| NPI | 1295072726 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201241089RN) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 818535) | 
| Enumeration Date | 2013-01-03 | 
| Last Update Date | 2013-01-03 |