| NPI | 1497341515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 28870) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0996111-NP) |
| Enumeration Date | 2020-12-13 |
| Last Update Date | 2022-03-18 |