NPI | 1134683055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO RXN.0103716-NP) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CO APN.0994376-NP) |
163WG0000X Registered Nurse, General Practice (Licence: CO APN.0994376-NP) | |
Enumeration Date | 2019-01-24 |
Last Update Date | 2023-12-20 |