NPI | 1285884320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO NP-5758) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 116123) |
Enumeration Date | 2008-09-25 |
Last Update Date | 2012-01-11 |