NPI | 1619346855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0991954-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 991954) |
363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991954) | |
Enumeration Date | 2015-09-17 |
Last Update Date | 2025-09-05 |