NPI | 1659939650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO RXN.0105208-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-174716) |
Enumeration Date | 2019-06-04 |
Last Update Date | 2021-05-06 |