| NPI | 1477988103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1622457) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN648374) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |