| NPI | 1699027110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1618627) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-100275) |
| 163W00000X Registered Nurse (Licence: GA RN170192) | |
| 163W00000X Registered Nurse (Licence: VA 0001149284) | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-31 |