NPI | 1427614882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0994838) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: CO 1618338) |
363L00000X Nurse Practitioner (Licence: CO APN.0994838) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0994838) | |
Enumeration Date | 2019-05-11 |
Last Update Date | 2020-12-23 |