| NPI | 1538495049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 200942782RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 191949) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |