| NPI | 1144772799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CO APN.0991800-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0991800-NP) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2023-01-25 |