| NPI | 1366458598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 35889) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 1497) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |