| NPI | 1801297973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 9332) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 223054-8) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0993738-NP) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993738-NP) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2019-07-19 |