| NPI | 1033817077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5018808) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0998499) |
| 163W00000X Registered Nurse (Licence: CO RN.1663294) | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-12-19 |