NPI | 1154064517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 997508) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO APN.0997508-NP) |
Enumeration Date | 2022-04-14 |
Last Update Date | 2022-08-08 |