| NPI | 1376795609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 202689) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CO 40725) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2012-02-24 |