NPI | 1407223688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0991917-NP) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 0991917-NP) |
Enumeration Date | 2015-08-24 |
Last Update Date | 2015-08-24 |