| NPI | 1518110824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN-204947) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CO lpn45246) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2016-09-22 |