NPI | 1538575691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991269-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO RN.1626919) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2021-05-18 |