NPI | 1265907406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0994198) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0994198-NP) |
Enumeration Date | 2018-10-03 |
Last Update Date | 2022-03-07 |