NPI | 1447250071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO NP-2133) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 113927) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2011-04-19 |