| NPI | 1043300940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992909-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1643509) |
| 363L00000X Nurse Practitioner (Licence: RI NPP37421) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304440) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-02-11 |