| NPI | 1730199365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0005006-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0125853) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0005006-NP) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2021-05-21 |