| NPI | 1902192651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 788663) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: CA 79511) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2012-09-02 |