| NPI | 1326505058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0994216) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0994216) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0994216) | |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2020-02-19 |