NPI | 1033721287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0995948) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO F07202233) |
Enumeration Date | 2020-08-19 |
Last Update Date | 2022-07-19 |