| NPI | 1780873034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA PHN# 61489) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA RN# 547970) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |