| NPI | 1619447406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 2018033940) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 2018033942) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 2018033940) | |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2021-12-02 |