| NPI | 1457787608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN818900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1656891) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2019-04-01 |