| NPI | 1003212184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO C-APN.0000696-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP126900) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP126900) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP126900) | |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2021-02-03 |