| NPI | 1104396647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1113833) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CO APN.0994327-NP) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0994327-NP) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: CO APN.0994327-NP) | |
| 363LF0000X Nurse Practitioner Family (Licence: CO APN.0994327-NP) | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2024-09-17 |