| NPI | 1255396834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 98478) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 0340) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-07-08 |