NPI | 1194841718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 5231) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 112556) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2022-01-31 |