| NPI | 1841870748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CO 0996454) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0185849) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CO 0996454) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CO 0996454) | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2022-02-08 |