NPI | 1306135868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990094-NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 990094) |
Enumeration Date | 2011-04-05 |
Last Update Date | 2023-09-19 |