| NPI | 1932734878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CO APN.0995140-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: CO APN.0995140-NP) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2021-08-24 |