| NPI | 1205477809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0998057-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO C-APN0002089-C-NP) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3013911) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0998057-NP) | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2025-07-29 |