| NPI | 1780932186 |
|---|---|
| Former Name | VIRGINIA PEAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995443) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018675) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2020-09-21 |