| NPI | 1740534684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992775-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000330) |
| 163W00000X Registered Nurse (Licence: CA 757039) | |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2018-10-17 |