| NPI | 1326403213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993438-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F307906-1) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0993438-NP) | |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2021-05-20 |