| NPI | 1417270604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 53951) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 674371) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |