| NPI | 1659617819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CO APN0994656-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1618583) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2021-11-12 |