NPI | 1437861754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5022151) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO c-apn.004683-C-NP) |
Enumeration Date | 2022-12-19 |
Last Update Date | 2025-05-20 |