NPI | 1518230234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0996493-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337129-1) |
Enumeration Date | 2012-02-10 |
Last Update Date | 2022-07-29 |