NPI | 1295076297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001877-C-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD r172017) |
Enumeration Date | 2013-03-15 |
Last Update Date | 2020-10-28 |