| NPI | 1144770694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992399-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0169809) |
| 163W00000X Registered Nurse (Licence: CO RN.169809) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO RXN.0102056-NP) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0992399) | |
| Enumeration Date | 2016-10-08 |
| Last Update Date | 2020-10-28 |