| NPI | 1598025942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 765732) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 232807) |
| Enumeration Date | 2012-05-19 |
| Last Update Date | 2012-05-19 |