NPI | 1033448915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0100190-C-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122981) |
Enumeration Date | 2009-12-23 |
Last Update Date | 2023-05-15 |