| NPI | 1598978363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0005219-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 91284) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2018-10-17 |