NPI | 1205699485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999473-NP) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO APN.0999473-NP) |
Enumeration Date | 2024-01-31 |
Last Update Date | 2024-05-23 |