| NPI | 1619236502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0992187-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 587753) |
| 163W00000X Registered Nurse (Licence: CO RN.1633739) | |
| 363LF0000X Nurse Practitioner Family (Licence: NY 337227) | |
| 363LF0000X Nurse Practitioner Family (Licence: CO RXN.0101945-NP) | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2021-07-12 |