| NPI | 1457741951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN1628633) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN223730) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |