| NPI | 1952655714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN128138) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN625729) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |