NPI | 1609538727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0999075-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11014621) |
Enumeration Date | 2021-10-06 |
Last Update Date | 2023-12-21 |