NPI | 1356347751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0003127-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 61296) |
363L00000X Nurse Practitioner (Licence: CO 3127) | |
163W00000X Registered Nurse (Licence: CO RN.0124407) | |
Enumeration Date | 2005-06-22 |
Last Update Date | 2016-05-17 |