| NPI | 1578237566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0997044-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0094887) |
| 363L00000X Nurse Practitioner (Licence: CO RXN.0106083-NP) | |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2022-11-23 |