| NPI | 1952850869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0993422-NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0993422-NP) |
| 363L00000X Nurse Practitioner (Licence: MN CNP4820) | |
| 363L00000X Nurse Practitioner (Licence: CO APN.0993422-NP) | |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2025-01-02 |