NPI | 1144870411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0997607-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF95011977) |
Enumeration Date | 2019-09-18 |
Last Update Date | 2022-09-07 |