| NPI | 1881035038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO C-APN.0000191-C-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: WI 5346-33) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2022-03-10 |