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 | 2023-04-20 |