| NPI | 1053941203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CO APN.0998696) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: PA SP021234) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2023-06-14 |