| NPI | 1427412683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN1618984) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN635802) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |