| NPI | 1295471605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: KS 53-83528-052) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN-0140846) |
| 163W00000X Registered Nurse (Licence: KS 14-164163-052) | |
| 363L00000X Nurse Practitioner (Licence: CO 997733) | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2024-09-17 |