| NPI | 1043962921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 10005942) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0996553-NP) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0996553-NP) | |
| Enumeration Date | 2022-01-22 |
| Last Update Date | 2023-04-03 |