NPI | 1013644574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO C-APN.0102107-C-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022020164) |
Enumeration Date | 2022-08-04 |
Last Update Date | 2024-10-07 |