NPI | 1114978632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994727-NP) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 4246) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2019-07-05 |