| NPI | 1023605706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0996142-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0996142-NP) |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2021-02-19 |