NPI | 1699825307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO APN.0003623-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO RN70223) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2016-11-09 |