NPI | 1548297864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0002013-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 130431 RN; 3548 NP) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO 130431 RN; 3548 NP) | |
Enumeration Date | 2006-06-26 |
Last Update Date | 2019-06-18 |