| NPI | 1548654809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 570194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN 1632086) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |