| NPI | 1295130110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0995178-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 865432) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP126681) | |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2019-12-04 |