NPI | 1124338819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.990044) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 990044) |
Enumeration Date | 2010-10-14 |
Last Update Date | 2020-07-24 |