| NPI | 1063967289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1636472) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 812031) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |