| NPI | 1902065345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 663469) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA 663469) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2010-03-29 |