| NPI | 1912141342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 105267) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CO 105267) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |