| NPI | 1083169494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0992668-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0202739) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0992668-NP) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0992668-NP) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CO APN.0992668-NP) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2020-04-23 |