NPI | 1285288977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0994850-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994850-NP) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0994850-NP) | |
Enumeration Date | 2019-07-31 |
Last Update Date | 2020-12-07 |