NPI | 1568686137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0999138.NP) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CO 15733) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2024-11-09 |