| NPI | 1578612743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0990965-NP) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 151156) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-10-17 |