NPI | 1306374202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0993047-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN0993047-NP) |
Enumeration Date | 2017-05-23 |
Last Update Date | 2023-05-01 |