NPI | 1235640582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020031798) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993335-NP) |
Enumeration Date | 2017-10-13 |
Last Update Date | 2020-11-24 |