NPI | 1396110045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0992147-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992147-NP) |
Enumeration Date | 2015-12-07 |
Last Update Date | 2024-11-19 |