| NPI | 1689869919 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 762397) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 581984) | 
| Enumeration Date | 2007-09-10 | 
| Last Update Date | 2016-12-16 |