| 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 |