| NPI | 1922061621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO 164236) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 431528-1) |
| 364SC1501X Clinical Nurse Specialist Community Health/Public Health (Licence: CO 164236) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2023-11-02 |