NPI | 1679183172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995946-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F05200856) |
Enumeration Date | 2020-08-09 |
Last Update Date | 2021-08-14 |