| NPI | 1659885630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 175703) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: CO 175703) |
| 163WG0000X Registered Nurse, General Practice (Licence: CO 175703) | |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |