| NPI | 1104670777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0999666-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: CO APN.0999666-NP) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-06-26 |