NPI | 1023700614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998738-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1670650) |
Enumeration Date | 2023-05-23 |
Last Update Date | 2023-11-28 |