NPI | 1447750864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993556-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 215778) |
Enumeration Date | 2018-02-13 |
Last Update Date | 2024-04-26 |