| NPI | 1619212701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 812023) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 161553) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2012-11-30 |