| NPI | 1336410984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM 02402) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 75878) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO NP990235) | |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2020-07-09 |