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 |