| NPI | 1255027041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP6143695) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0998516-NP) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0998516-NP) | |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-06-18 |