| NPI | 1952645962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 192031) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CO 192031) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |