| NPI | 1164832986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0991113-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991113--NP) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0991113-NP) | |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2020-07-24 |