| NPI | 1568786564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 761300) |
| Additional Taxonomies | 163WI0600X Registered Nurse, Infection Control (Licence: CA 761300) |
| 163WI0600X Registered Nurse, Infection Control (Licence: CA PHN# 76676) | |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2015-09-11 |