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 |