| NPI | 1740604727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 0000072300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000072300) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2024-01-16 |