NPI | 1265951925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993074-NP) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO APN.0993074-NP) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0993074-NP) | |
Enumeration Date | 2017-09-13 |
Last Update Date | 2021-09-03 |