| NPI | 1760033856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0994760-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: CO APN.0994760-NP) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5013478) | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2023-05-03 |