| NPI | 1962900274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0994563) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-109391-041) |
| 163W00000X Registered Nurse (Licence: CO 199241) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0994563) | |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2023-02-03 |