| NPI | 1245571512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992381-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM CNP-02150) |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0000450-C-NP) | |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2018-10-18 |