NPI | 1558750182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999460-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1621764) |
Enumeration Date | 2015-01-20 |
Last Update Date | 2024-08-30 |