NPI | 1417384082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993623-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 20193099NP-PP) |
163W00000X Registered Nurse (Licence: CO 194244) | |
Enumeration Date | 2013-09-27 |
Last Update Date | 2024-12-05 |