| NPI | 1811479397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0994590-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 6196) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 6196) | |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2019-10-21 |