| NPI | 1780073064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 185874-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 843530) |
| 163W00000X Registered Nurse (Licence: WA Rn60463951) | |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |