NPI | 1215370754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0990642-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0140660) |
Enumeration Date | 2013-04-15 |
Last Update Date | 2024-07-24 |