| NPI | 1639333404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse Administrator (Licence: CA 497444) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: CA 497444) |
| 163WE0003X Registered Nurse Emergency (Licence: LA 63180) | |
| 171000000X Military Health Care Provider (Licence: CA 14438) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2018-04-18 |