NPI | 1770190415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO AG07200105) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO AG07200105) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CO AG07200105) | |
Enumeration Date | 2020-09-27 |
Last Update Date | 2024-06-12 |