| NPI | 1629543129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0101222-C-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024177066) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2024-06-17 |