NPI | 1407285679 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990945-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO RN.1623799) |
363LF0000X Nurse Practitioner, Family (Licence: CO RXN.0101197-NP) | |
Enumeration Date | 2013-11-07 |
Last Update Date | 2024-02-08 |