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: AZ TELE303571) |
Enumeration Date | 2016-01-14 |
Last Update Date | 2024-05-16 |