| NPI | 1033620554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993545-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0205379) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0993545-NP) | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2018-10-18 |