| NPI | 1326413311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0002549-C-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL RN9329652) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2021-01-11 |