NPI | 1205477809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CO APN.0998057-NP) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CO C-APN0002089-C-NP) |
363LA2100X Nurse Practitioner Acute Care (Licence: KY 3013911) | |
Enumeration Date | 2019-10-04 |
Last Update Date | 2022-10-31 |