| NPI | 1649524539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.1002111-NP) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: CO 129613) |
| 363L00000X Nurse Practitioner (Licence: MN 5865) | |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2026-07-23 |