| NPI | 1770648156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0990507-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APN000725) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0990507) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2023-03-07 |