NPI | 1205554078 |
---|---|
Former Name | ANDREA SIKOWITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0997620-NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0997620) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CO 0997620) | |
Enumeration Date | 2022-08-18 |
Last Update Date | 2023-01-12 |