NPI | 1023308343 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 178286) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 990333) |
Enumeration Date | 2011-04-08 |
Last Update Date | 2020-11-12 |