| NPI | 1124512850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: CO 130914) |
| Additional Taxonomies | 163WM1400X Registered Nurse Nurse Massage Therapist (NMT) (Licence: CO 130914) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NY F302220-1) | |
| Enumeration Date | 2018-06-16 |
| Last Update Date | 2018-06-16 |