| NPI | 1649676594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 701191) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK NUR-R 28089) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |