| NPI | 1790747376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0004666-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 170211) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704106343) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2018-06-11 |