NPI | 1710310990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO NP.0990434) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0990434-NP) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0990434-NP) | |
Enumeration Date | 2013-08-12 |
Last Update Date | 2024-04-13 |