NPI | 1073159166 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 994840) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0994840-NP) |
363LA2100X Nurse Practitioner, Acute Care (Licence: CO 994840) | |
Enumeration Date | 2019-11-23 |
Last Update Date | 2024-10-22 |