| NPI | 1780609727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0004035) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 93971) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-09-20 |