| NPI | 1992161640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 0198119) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95036052) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-29 |