| NPI | 1083193593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0001251) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 00000000000) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2019-01-28 |