NPI | 1649650284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0004432-C-NP) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: LA 08163) |
Enumeration Date | 2015-06-08 |
Last Update Date | 2023-01-24 |