NPI | 1255991659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0990003) |
Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CO RN.0122254) |
Enumeration Date | 2019-06-18 |
Last Update Date | 2019-06-18 |