| NPI | 1114113313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 199078) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CO 43478) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2012-02-15 |