| NPI | 1972909695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO C-APN.0000359-C-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NM CNP-02544) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2015-09-14 |