| NPI | 1093100604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992534-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO RXN.0102727-NP) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2024-09-03 |