NPI | 1164739900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991449) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0991449-NP) |
Enumeration Date | 2010-08-31 |
Last Update Date | 2023-04-25 |