| NPI | 1992108716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0995987-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1627665) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2020-11-25 |