NPI | 1689268187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996317-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 162189) |
Enumeration Date | 2021-02-24 |
Last Update Date | 2021-08-24 |