| NPI | 1801566518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0996969-NP) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CO RN.1628579) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-10-08 |