| 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 |