| NPI | 1447625744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992030-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.013237) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992030-NP) | |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2020-08-21 |