NPI | 1548465370 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0995128-NP) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO ANP0995128) |
363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995128-NP) | |
Enumeration Date | 2007-06-20 |
Last Update Date | 2024-01-11 |