| NPI | 1215493747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0998488-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP140613) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP140613) | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2023-06-08 |