NPI | 1548645856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100364-C-NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9372093) |
Enumeration Date | 2015-07-28 |
Last Update Date | 2023-02-06 |