| NPI | 1861569998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0990373-NP) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: MN R152551-3) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990373-NP) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-04-13 |