NPI | 1033569488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0993184-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0993184-NP) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704282020) | |
Enumeration Date | 2016-06-16 |
Last Update Date | 2019-07-26 |