| NPI | 1831161553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 118801) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 118801) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 118801) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-07-24 |