| NPI | 1497094692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 753250) |
| Additional Taxonomies | 163WG0100X Registered Nurse Gastroenterology (Licence: KY 1124028) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |