| NPI | 1487439113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0999086-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO RXN-0108143-NP) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0999086-NP) | |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2024-09-04 |