| NPI | 1477899268 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: CA 247150)  | 
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 247150/68470)  | 
| Enumeration Date | 2012-12-24 | 
| Last Update Date | 2012-12-24 |