NPI | 1568847978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95049418) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 11579) |
Enumeration Date | 2015-07-27 |
Last Update Date | 2015-07-27 |