NPI | 1184858581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 110229 / 5996) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN0005996-NP) |
Enumeration Date | 2009-05-13 |
Last Update Date | 2019-01-28 |