| NPI | 1336601004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO C-APN.0004179-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 78654) |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0004179-C-NP) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2022-06-13 |