| NPI | 1184135162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1666031) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000221982) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2020-01-31 |