| NPI | 1164608477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 5547) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: CO RN-75898) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2016-01-22 |