| NPI | 1699329029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0995172-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 82268) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61335195) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 317526) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IA H182699) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 14193007-4405) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO RXN.0104415-NP) | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2026-04-24 |