| NPI | 1801890447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CO 5712) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO 5712) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2019-07-26 |