| NPI | 1649696618 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA 86189) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 837470) | 
| Enumeration Date | 2014-03-13 | 
| Last Update Date | 2014-03-13 |