NPI | 1598378846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0995771) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO F07200424) |
Enumeration Date | 2020-08-26 |
Last Update Date | 2024-10-18 |