NPI | 1003969734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 126286) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RN 829462, NP 22407) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2018-10-29 |