| NPI | 1780838953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CO APN.0005930-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO APN.0005930-NP) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CO NP-5930) | |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2020-07-24 |