NPI | 1356437974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CO 119011) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 119011) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2007-07-08 |