| NPI | 1356493696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0003636-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CO RXP-4037) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2024-02-22 |