| NPI | 1033863220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0997194) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 0997194) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 0997194) | |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-12-01 |