| NPI | 1790161008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CO RN0205766) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: CO RN0205766) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |