NPI | 1194762302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 4055) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 115122) |
363LF0000X Nurse Practitioner, Family (Licence: CO 115122) | |
Enumeration Date | 2006-05-31 |
Last Update Date | 2023-04-19 |