| NPI | 1033454624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO ANP.0004240-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9266480) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2022-09-14 |