| NPI | 1831477322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993570-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 0993570) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2268087) | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2018-10-17 |