| NPI | 1326597683 |
|---|---|
| Former Name | MARIA JOHLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0992709-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992709-NP) |
| 163W00000X Registered Nurse (Licence: CO 0198115) | |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-11-07 |