| NPI | 1609389030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993731-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95007521) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0993731) | |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2018-10-15 |