| NPI | 1942344643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 84997) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CO 84997) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-03-04 |