| NPI | 1952769432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0996207-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 612690) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307263) | |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2022-02-24 |