| NPI | 1093743585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CO APN.0003186-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0003186-NP) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2016-03-01 |