NPI | 1699027565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0010361) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 10361) |
363LF0000X Nurse Practitioner, Family (Licence: CO NP 10361) | |
Enumeration Date | 2012-10-02 |
Last Update Date | 2024-09-05 |