| NPI | 1801196522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 3963) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CO 3962) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2022-07-21 |