| NPI | 1518459221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308598) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1653083) |
| 163W00000X Registered Nurse (Licence: NY 668773) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993886-NP) | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2019-04-19 |