| NPI | 1770988289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 613397) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: CA 613397) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |