| NPI | 1265403901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 4811) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 118291) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NM R58496) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2013-08-07 |