| NPI | 1164719464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 305697) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0997029-NP) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0997029-NP) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2023-10-10 |