| NPI | 1639541550 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0992105-NP) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0177551) | 
| Enumeration Date | 2015-10-30 | 
| Last Update Date | 2016-03-22 |