NPI | 1669014593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001783-C-NP) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11004553) |
Enumeration Date | 2019-10-11 |
Last Update Date | 2019-12-09 |