NPI | 1063739563 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0004967-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 130695) |
Enumeration Date | 2010-04-23 |
Last Update Date | 2022-07-26 |