| NPI | 1326445040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0997685-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5007348) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5007348) | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2022-09-23 |