| NPI | 1710279740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 784036) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: CA 79833) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-11 |