NPI | 1467417972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 128222) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN0004350) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2024-07-09 |