| NPI | 1336687524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 0992918-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 0992918-NP) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |