NPI | 1669997086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0996594-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1641288) |
363L00000X Nurse Practitioner (Licence: NM 69216) | |
Enumeration Date | 2017-08-07 |
Last Update Date | 2024-10-25 |