| NPI | 1275180432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0995799-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 230375) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0995799-NP) | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2020-12-22 |