| NPI | 1215635677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0998602-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1654634) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-07-10 |