| NPI | 1801583760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CO APN.0998625-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0998625-NP) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CO APN.0998625-NP) | |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2025-06-16 |