| NPI | 1962792572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 661769) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: CA 661769) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |