| NPI | 1275873705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 173392) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA CA 415633) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |