NPI | 1376730259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992915-NP) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6130) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2024-11-06 |