NPI | 1356693188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993067-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1644965) |
363LF0000X Nurse Practitioner, Family (Licence: GA RN198963) | |
Enumeration Date | 2012-10-03 |
Last Update Date | 2018-03-17 |