| NPI | 1912712852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: CO 1700219) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 1000342) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 1000342) | |
| 163WG0000X Registered Nurse, General Practice (Licence: MA 2380629) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 1000342) | |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |