NPI | 1730553843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN-0003150-C-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8315) |
Enumeration Date | 2015-12-01 |
Last Update Date | 2024-07-10 |