| NPI | 1144665142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 200959) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R202539-7) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |