| NPI | 1407121544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO NP-990350) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 990350) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2023-01-12 |