| NPI | 1336455534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 150211) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201041007) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-25 |