NPI | 1164966578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0003268-C-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 300548) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5010100) | |
Enumeration Date | 2016-12-05 |
Last Update Date | 2021-12-03 |