NPI | 1265211122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0999172) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0999172-NP) |
Enumeration Date | 2023-09-28 |
Last Update Date | 2023-11-01 |