| NPI | 1295865061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 172482) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 172482) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-02-29 |