| NPI | 1689345472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0996803-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: CO 0996803) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2022-10-14 |