NPI | 1639688229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995825-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1650799) |
Enumeration Date | 2017-09-26 |
Last Update Date | 2022-02-21 |