| NPI | 1508911512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO APN.0990418-NP) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO ACU.0001775) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2012-08-29 |