| NPI | 1205583911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN-0998749-NP) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: CO 1666660) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2023-06-16 |