| NPI | 1770772311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CA 16879) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 576416) |
| 163WC1500X Registered Nurse, Community Health (Licence: CA 64143) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: CA 576416) | |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |