| NPI | 1407492929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0995300-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0178632) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0178632) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 0178632) | |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2021-12-15 |