| NPI | 1821235250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1620807) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CO PN464-20) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2015-02-03 |