| NPI | 1063464659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: CO 190146) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 190146) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2012-01-03 |