NPI | 1427193598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993032) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 685472) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2017-05-01 |