NPI | 1316272909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994641-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 182885) |
Enumeration Date | 2009-10-15 |
Last Update Date | 2019-09-05 |