| NPI | 1699172973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: CO 0192574) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 0089212) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |