NPI | 1730546805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN-0101963-C-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992467-NP) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN9346709) | |
Enumeration Date | 2016-01-20 |
Last Update Date | 2024-05-09 |