| NPI | 1710483441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN0125418) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CO RN0125418) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |