| NPI | 1467005199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0994704-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1658899) |
| 163W00000X Registered Nurse (Licence: OH 412841) | |
| 363L00000X Nurse Practitioner (Licence: CO 5994704) | |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2021-12-23 |