| NPI | 1205354842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN-0190962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0190962) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |