| NPI | 1740523570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CO NP 0990682) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO 0990682-NP) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2015-02-17 |