| NPI | 1730540139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN1617249) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN83163) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |