| NPI | 1558027524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO C-APN.0004694.NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TX AG12200133) |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2022-12-02 |