NPI | 1205292653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0992151-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA GAA-NP003887) |
363L00000X Nurse Practitioner (Licence: AZ 303571) | |
Enumeration Date | 2016-01-14 |
Last Update Date | 2025-09-22 |