| NPI | 1912237280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 123798) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CO 123798) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: CO 123798) | |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: CO 123798) | |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-01-07 |