| NPI | 1649229972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 3070) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: CO 86285) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2014-11-06 |