| NPI | 1407120157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 529295) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: CA 529295) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 529295) | |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |