| NPI | 1629241799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CO 5451) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO 167443) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2019-07-26 |