| NPI | 1467417972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 128222) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN0004350) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2024-07-09 |