| NPI | 1396861084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA 563831) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: CA 563831) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |