NPI | 1194089425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO RXN.100829-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 990425) |
Enumeration Date | 2012-07-02 |
Last Update Date | 2024-05-08 |