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 |