| NPI | 1467857300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CO C-APN.0101329-C-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TX AP126820) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2023-11-10 |