| NPI | 1144327503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CO 160232) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CO 5067) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-04-14 |