| NPI | 1659815272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992851-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY 17744.1578) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0992851-NP) | |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2023-03-06 |