| NPI | 1528133394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0992838-NP) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: TX 557269) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN2290205) | |
| 363LF0000X Nurse Practitioner Family (Licence: TX AP119888) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CO 0000202-C-NP) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2022-06-23 |