| NPI | 1124264726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 185481) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28157346A) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2009-01-02 |