NPI | 1669139507 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0997170-NP) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CO RN.1641919) |
363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997170-NP) | |
Enumeration Date | 2021-11-28 |
Last Update Date | 2022-06-20 |