| NPI | 1013482454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0003184-C-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 225351) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 225351) | |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2022-09-19 |