| NPI | 1609551969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0107878) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0998694) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-16 |