NPI | 1174149983 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 000000) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995709-NP) |
Enumeration Date | 2020-06-18 |
Last Update Date | 2024-08-19 |