| NPI | 1528310679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11004135) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0993427) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993427-NP) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005850) | |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2020-07-28 |