| NPI | 1679762397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CA 1307) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 333974) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |