| NPI | 1780717553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 556787) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: CO 166473) |
| 163W00000X Registered Nurse (Licence: CO RN0166473) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2016-12-14 |