| NPI | 1902817000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ID 63121) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 78242) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0002430-NP) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2022-04-19 |