| NPI | 1861947053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1643554) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 72013) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2017-01-30 |