| NPI | 1538702618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CO APN.0995137) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0995137-NP) |
| 163WA2000X Registered Nurse Administrator (Licence: CO RN0163876) | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2021-11-01 |