| NPI | 1922294271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 199689) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CO 40885) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2011-07-21 |