| NPI | 1578690541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 175603) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 175603) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-03-03 |