| NPI | 1760592554 |
|---|---|
| Former Name | CECILIA ROSE STROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO RXP100287) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 108079) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-04-29 |