| NPI | 1649884461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0995798-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: CO APN.0995798-NP) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2021-06-02 |