| NPI | 1730812314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CO APN.0997249-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0197507) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-09-06 |