| NPI | 1104956952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 163913) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 163913) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-03-03 |