| NPI | 1780123414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0994061) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CT 6936) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2021-08-05 |