| NPI | 1720458524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 0992026) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0085978) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2018-10-29 |