| NPI | 1568686137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0999138-NP) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 15733) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0999138.NP) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2026-03-24 |