| NPI | 1871774158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 257164) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: CA 257164) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |