| NPI | 1992044150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992472-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1639978) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2278023) | |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2021-03-31 |