| NPI | 1659861359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0993523-NP) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO APN.0993523-NP) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 2017021320) | |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2019-04-24 |