| NPI | 1821517988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CO APN.0993345-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO 0993345) |
| Enumeration Date | 2017-09-10 |
| Last Update Date | 2023-06-21 |