NPI | 1033153804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 63998) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 109125-22) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2007-07-08 |