| NPI | 1730739996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CO APN.0991813-NP) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: CO RN.1631576) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0991813-NP) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CO APN.0991813-NP) | |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |