NPI | 1558715045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0993174-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 640908) |
163W00000X Registered Nurse (Licence: CA RN95091830) | |
163W00000X Registered Nurse (Licence: CO RN.0200856) | |
363LF0000X Nurse Practitioner, Family (Licence: PA F0516404) | |
363LF0000X Nurse Practitioner, Family (Licence: NV 002234) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 95004653) | |
Enumeration Date | 2016-04-20 |
Last Update Date | 2022-07-21 |