| NPI | 1780745083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 569222) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 68441) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2014-07-01 |