| NPI | 1316494966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN1684762) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CO 0332368) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-09-22 |