| NPI | 1144345562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 173757) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 443617) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |