NPI | 1205617347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999145-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1662264) |
Enumeration Date | 2023-10-12 |
Last Update Date | 2023-10-12 |