NPI | 1043106362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 1000891) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CO 1695844) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 1000891) | |
Enumeration Date | 2025-06-13 |
Last Update Date | 2025-07-10 |