| NPI | 1518392570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 990881) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 0990881) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0990881) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0990881-NP) | |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2024-08-29 |