NPI | 1205664794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999983-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0999983-NP) |
Enumeration Date | 2024-07-25 |
Last Update Date | 2024-11-07 |