| NPI | 1629613062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0994786) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0994786) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0994786) | |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2022-12-09 |