| NPI | 1740264779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse Administrator (Licence: CA 542206) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: CA 542206) |
| 163WI0500X Registered Nurse Infusion Therapy (Licence: CA 542206) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2014-09-17 |