| NPI | 1689777484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0003590-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 140110) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2018-10-17 |