| NPI | 1487871612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: CA 70987) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 671721) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-11-15 |