| NPI | 1811059066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 665668) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 69592) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2014-07-15 |