| NPI | 1659321172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA 161994) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 161994) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-07-10 |