| NPI | 1750798922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2374492) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0991909-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991909-NP) | |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2023-03-23 |