| NPI | 1790564862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0999171-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0999171-NP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0999171-NP) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0999171-NP) | |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2024-02-12 |