| NPI | 1407748346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0106336-C-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2025011174) |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2026-08-17 |