| NPI | 1417612391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0996735-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CO APN.0996735-NP) |
| 363LF0000X Nurse Practitioner Family (Licence: CO APN.0996735-NP) | |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2022-01-07 |