NPI | 1669139507 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0997170-NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0997170-NP) |
363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997170-NP) | |
Enumeration Date | 2021-11-28 |
Last Update Date | 2024-09-23 |