| NPI | 1063529154 |
|---|---|
| Former Name | NISA CHERYL COHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CO APN.0004260-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO NP4260) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2018-10-17 |