NPI | 1649934894 |
---|---|
Former Name | DARCY VICTORIA-FAYE OLIVAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997679-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 03-230-0678) |
Enumeration Date | 2021-10-25 |
Last Update Date | 2024-11-26 |