| NPI | 1629381199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS R583391) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 453089) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2012-02-14 |