| NPI | 1518503218 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA 554560)  | 
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 831551)  | 
| Enumeration Date | 2019-11-18 | 
| Last Update Date | 2019-11-18 |