| NPI | 1649465634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: CA 398873) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 398873) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |