| NPI | 1023583176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993900-NP) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: CO RN.0196272) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |