| NPI | 1679022438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2004019629) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 852028) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |