| NPI | 1770052763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0994375-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0179824) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2024-06-14 |