| NPI | 1790357432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0996897-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 1659099) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-09-23 |