NPI | 1144690439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0992643-NP) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CO RN.1642174) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO APN.0992643-NP) | |
Enumeration Date | 2015-09-30 |
Last Update Date | 2018-09-17 |