NPI | 1497592323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1000160-NP) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CO RN.1629671) |
Enumeration Date | 2024-07-09 |
Last Update Date | 2024-09-26 |