| NPI | 1174997290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CO APN.0991782-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0991782) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CO APN.0991782-NP) | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2017-01-04 |