| NPI | 1972846517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0994662-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308338-1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209010144) | |
| 163W00000X Registered Nurse (Licence: CO RN.1660502) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2023-10-16 |