NPI | 1356494983 |
---|---|
Former Name | FRANCESCA ROSE PORTILLOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0005168-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0005168-NP) |
163W00000X Registered Nurse (Licence: CO RN.0164007) | |
Enumeration Date | 2007-01-18 |
Last Update Date | 2016-09-16 |