| NPI | 1982254322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95066523) |
| Additional Taxonomies | 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: CA 549487) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |