| NPI | 1710668215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0998882-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0998882-NP) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 74702) | |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2024-01-30 |