NPI | 1366899684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112687) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO RN.1620370) |
363L00000X Nurse Practitioner (Licence: CO APN.0992527) | |
Enumeration Date | 2016-05-17 |
Last Update Date | 2018-12-31 |