NPI | 1073917845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0991338-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0991338-NP) |
Enumeration Date | 2014-10-22 |
Last Update Date | 2024-02-09 |