NPI | 1497162127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO RXN.0101354) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 194127) |
363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991272) | |
363LF0000X Nurse Practitioner, Family (Licence: CO 0991272) | |
Enumeration Date | 2014-07-15 |
Last Update Date | 2024-06-04 |