| NPI | 1770958233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95058412) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 085866) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |