| NPI | 1669972337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0996022-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2319745) |
| 363L00000X Nurse Practitioner (Licence: MA RN2319745) | |
| 363LF0000X Nurse Practitioner Family (Licence: MA RN2319745) | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2021-03-24 |