| NPI | 1598807661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: CO RN.1625183) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: TX 535000) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2021-09-21 |