| NPI | 1548789068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO NP.0993273) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0993273) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2020-07-24 |