| NPI | 1144877218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 56997) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0101302-C-NP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NM 56997) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 56997) | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2025-08-06 |