| NPI | 1922424316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 390157) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 390157) |
| 261Q00000X Clinic/Center (Licence: CA 390157) | |
| 261QH0100X Clinic/Center, Health Services (Licence: CA 390157) | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-10 |