NPI | 1528754173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.1001102-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 12115) |
Enumeration Date | 2023-04-17 |
Last Update Date | 2025-09-17 |