| NPI | 1295198265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 992302) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 192127) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2022-05-31 |