| NPI | 1962818690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN-0994122-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP07689) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2019-12-04 |