| NPI | 1669918496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0992781-NP) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: CO APN.0992781-NP) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |