| NPI | 1386055671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201401618RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 802348) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |