| NPI | 1972201317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0998498) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1658364) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-03-20 |