| NPI | 1427518406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0995265-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA Pending) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2020-06-15 |