| NPI | 1780086504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CO APN.0991331-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0991331-NP) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2018-10-17 |