NPI | 1164719464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 305697) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0997029-NP) |
363L00000X Nurse Practitioner (Licence: CO APN.0997029-NP) | |
Enumeration Date | 2011-07-07 |
Last Update Date | 2023-10-10 |