| NPI | 1538564810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN 0991469-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CO APN 0991469-NP) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2021-08-24 |