NPI | 1548390396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990388-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 363L00000X) |
363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0990388-NP) | |
Enumeration Date | 2007-03-07 |
Last Update Date | 2024-03-28 |