NPI | 1275664062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 10167) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 170472) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2021-05-12 |