| NPI | 1003213745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0995833-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-193169) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP126952) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP126952) | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2022-03-11 |