| NPI | 1265747000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 191640) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28179434A) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |