| NPI | 1861895807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0991480-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 991480) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95000952) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0991480-NP) | |
| Enumeration Date | 2014-10-05 |
| Last Update Date | 2023-07-21 |