| NPI | 1477860096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0000539-C-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 218312) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5004864) | |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2017-02-17 |