| NPI | 1578124947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO C-APN.0003419-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024177770) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024177770) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: VA 0024177770) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: VA 0024177770) | |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2022-02-17 |