NPI | 1144854795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997732-NP) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CO RN.0165184) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61314811) | |
Enumeration Date | 2020-02-22 |
Last Update Date | 2024-08-20 |