| NPI | 1285830489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 201942) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CO 42843) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2012-01-12 |