| NPI | 1982199899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO C-APN.0001116-C-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: GA NCO-000001) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: GA NCO-000001) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2023-02-23 |