| NPI | 1023296787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 5616) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 163518) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2021-03-29 |