NPI | 1174958326 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0001859-C-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 17894) |
Enumeration Date | 2013-09-06 |
Last Update Date | 2021-01-28 |