NPI | 1275317018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0104376-C-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11027041) |
Enumeration Date | 2023-08-22 |
Last Update Date | 2025-09-25 |