| NPI | 1871730093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0991933-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1634015) |
| 363L00000X Nurse Practitioner (Licence: CO RXN.0102039-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 324471) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH OH10421) | |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2022-07-21 |